JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
What sets you up for success?
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
What are your major responsibilities at home? at school?
*
Your answer
What do you dislike about school?
*
Your answer
What do you like about school?
*
Your answer
What kinds of things do teachers do that help you learn?
*
Your answer
Are there things in your life that make getting homework done a problem? (A job, younger siblings to care for? someone with a disability who you care for?)
*
Your answer
If you are struggling with something academic, who helps you?
*
Your answer
If you are struggling with something non-academic, who helps you?
*
Your answer
Who are your role models?
*
Your answer
Do you have a plan (or ideas for a plan) for your future?
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
Forms
This form was created inside of Lee County Schools.
Report Abuse
Terms of Service
Privacy Policy
Help and feedback
Contact form owner
Help Forms improve
Report